Silver Sponsor Application

Please complete the following application and we will send a sponsor agreement based on the information provided.

Silver Sponsorship Fee: $10,000

Your name:

Your Phone:

Your email:

Sponsorship Years:
202420252026

Company Information

Company Name:

Company Type?:
Sole ProprietorshipPartnershipLimited Liability Company (LLC)CorporationCooperativeNonprofit Organization

State of Incorporation?:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Company Address:

Address Line Two:

City:

State:
—Please choose an option—ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code:

Attendees:

Are you donating seats to a BGW Couple? If So Type DONATING for the First Name
YesNo

Attendee 1:
Attendee 1 First Name:

Attendee 1 Last Name:

Attendee 1 Email:

Attendee 2:
Attendee 2 First Name:

Attendee 2 Last Name:

Attendee 2 Email:

Attendee 3:
Attendee 3 First Name:

Attendee 3 Last Name:

Attendee 3 Email:

Attendee 4:
Attendee 4 First Name:

Attendee 4 Last Name:

Attendee 4 Email:

Attendee 5:
Attendee 5 First Name:

Attendee 5 Last Name:

Attendee 5 Email:

Desired Payment Method:
Credit CardCheckBank TransferOther

If Other:

Person Signing Agreement

Authorized Signer Name:

Signer's Position in Company?:

Signer's Email Address?:

Signer's Phone?:

Additional Information (optional)

Your Logo: